An important note about submitting patient imaging.

The imagery submitted (patient data) has been produced for consideration by a clinician(s) familiar with the patient and the use of the Cook Medical - Zenith® endovascular devices. The assessment of the submitted imagery is to be read and taken in the context of a suggestion only. The assessment has been constructed using digital imagery data provided by the referring clinician(s) to the reviewer(s), which the reviewer(s) in turn accept as annotated and supplied. It remains at all times the responsibility of the referring clinician(s) to confirm all measurements and to make the decision to proceed using the information from this assessment either in whole, in part or not at all.

New Physician Registration

* Fields in red are required

Title

*First Name

Middle Initial

*Last Name

*E-mail

*Username

*Country

Fax Number

Cell Number

*Preferred Contact Number

*Primary/Preferred Hospital

*Primary Hospital City

Primary Hospital State

Medical Specialty

Product Experience

AAA

Zenith Flex®

Medtronic

Gore

Other(s)Comments

TAA

Zenith® TX2®

Medtronic

Gore

Other(s)Comments

Branch Iliac

Zenith® Branch

Other(s)Comments

Fenestrated

Zenith® Fenestrated

Other(s)Comments

Dissection

Zenith® Dissection®

Other(s)Comments

Envision encompasses all the ways we provide support for Zenith endovascular grafts and the professionals who use them.